DV-250
1
Proof of Service by Mail
Clerk stamps below when form is filed.
Protected person’s name:
2
Restrained person’s name:
To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of the form when finished.
3
Notice to Server Short Title: You must: • Be 18 or over. • Not be listed on the restraining Appearance for (provide name of party): order. • Mail a copy of all documents Status of Party: ( ) the person in checked in ❹ toAppellant/Petitioner . ❺
( ( ( ( ) ) ) ) Appellee/Respondent Cross-Appellant/Cross-Petitioner Other (Specify): An attorney will argue this appeal.
Docket No.
Court name and street address:
Superior NOTICE OF APPEARANCE
Court of California, County of
4
I mailed to the person in ❺ a copy of all documents checked below: Case Number: DV-120 (Answer to Temporary argue appeal, if Order) counsel of record: Restraining other than a. < Name of attorney who will < Date of arguing attorney’s admission to FL-150 (Income and Expense Declaration)this Court (month, day, year): b. < Other Federal/State Bar admissions: (month, day, year): FL-155 (Simplified Financial Statement) c. ( ) I am a pro se litigant who is not an DV-130 I(Restraining Order se litigant. attorney. After Hearing) d. ( ) am an incarcerated pro TIME REQUEST Other (specify): e.
( )
( ( (
) Cross-Appellee/Cross Respondent ) Intervenor ) Amicus Curiae
Remember: You cannot) serve DV-100, DV-105, DV-110, or DV-125 byminutes or multi-co-parties mail. ( Oral argument is desired. Party requests
request a total of minutes to be apportioned as follows:
Oral argument is not desired.
5
If more than checked per side is a sealed envelope and I placed copies of the documents 20 minutes above in requested, set forth reasons: mailed them as listed below: (state): a. Date: b. Mailed from (city): AVAILABILITY OF COUNSEL/PRO SE LITIGANT c. Mailed to (write name): I understand that the person who will argue the appeal must be ready at any time during or after the week of argument d. At this address: which appears on the scheduling order. ( ) I know of no dates which would be inconvenient. ( ) Server’s Information I request that the argument of this appeal not be calendared for the following dates, which are inconvenient. I have included religious holidays. Name: Address: COUNSEL OR PRO SE LITIGANT MUST ADVISE THE COURT IN WRITING OF ANY CHANGE IN AVAILABILITY. FAILURE TO DO SO MAY BE CONSIDERED BY THE COURT IN DECIDING MOTIONS FOR ADJOURNMENT BASED ON Telephone: UNAVAILABILITY.
6
(If you are a process server):
( )
RELATED CASES
County of registration: This case has not been before this Court previously. Registration number: ( )
This case has been before this Court previously. The short title, docket number and citation are:
7
I declare under penalty of perjury under the laws of the State of California that the information above is true and ( ) Matters related to this appeal or involving the same issue have been or presently are before this Court. The short correct. titles, docket numbers and citations are: Date:
Signature of counsel of record or pro se litigant:
➤
Signature of counsel who will argue the appeal, if different:
Type or print server’s name
Type or Print Name Name of Firm:
Server to sign here
Type or Print Name
For your protection and privacy, please press the Clear This Form button Address: after you have printed the form.
Telephone: Judicial Council of California, www.courtinfo.ca.gov Rev. July 1, 2003, Optional Form July 2000 Family Code, §§ 6324, 6340–6344 Date: Telephone: Date:
Proof of Service by Mail (CLETS)
(Domestic Violence Prevention)
DV-250, Page 1 of 1
American LegalNet, Inc. www.USCourtForms.com
Print This Form
Clear This Form